• Division of Gastroenterology and Hepatology, Department of Medicine, Stanford University, Stanford, California.
• The Harvard T.H. Chan School of Public Health, Harvard University, Boston, Massachusetts.
• Division of Gastroenterology and Hepatology, Department of Medicine, Stanford University, Stanford, California. Electronic address: jooha@stanford.edu.

There exists no coherent national strategy for the early detection or prevention of gastric cancer in the United States (US), even among identified high-risk groups such as Asian Americans, African Americans, Hispanic Americans, and Alaska Native/American Indian peoples. As a result, patients with gastric cancer in the US are diagnosed at later stages and demonstrate worse overall survival compared to nations of East Asia with established screening programs (Table 1). The under-recognition of gastric cancer risk within minority communities is a significant unaddressed healthcare disparity.